ICD-10 Coding for Distal Radius Fracture(S52.501A, S52.502A)
Complete ICD-10-CM coding and documentation guide for Distal Radius Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Distal Radius Fracture
S52.5-S52.6Primary Range
Fractures of the forearm
This range includes specific codes for fractures of the distal radius, which are critical for accurate diagnosis and treatment documentation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S52.501A | Unspecified fracture of the lower end of right radius, initial encounter for closed fracture | Use for initial encounter of closed fracture of the right distal radius when specific fracture type is not documented. |
|
| S52.502A | Unspecified fracture of the lower end of left radius, initial encounter for closed fracture | Use for initial encounter of closed fracture of the left distal radius when specific fracture type is not documented. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for right distal radius fracture
Essential facts and insights about Distal Radius Fracture
Primary ICD-10-CM Codes for distal radius fracture
Decision Criteria
clinical Criteria
- Presence of a closed fracture in the distal radius confirmed by imaging
documentation Criteria
- Laterality must be specified in the medical record
Applicable To
- Closed fracture of right distal radius
Excludes
- Open fracture of right distal radius
Clinical Validation Requirements
- Radiographic confirmation of fracture
- Documentation of laterality
Code-Specific Risks
- Risk of unspecified laterality leading to coding errors
Coding Notes
- Ensure laterality is clearly documented to avoid unspecified coding.
S52.502A - Unspecified fracture of the lower end of left radius, initial encounter for closed fracture
Use for initial encounter of closed fracture of the left distal radius when specific fracture type is not documented.
Applicable To
- Closed fracture of left distal radius
Excludes
- Open fracture of left distal radius
Clinical Validation Requirements
- Radiographic confirmation of fracture
- Documentation of laterality
Coding Notes
Ensure laterality is clearly documented to avoid unspecified coding.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Distal Radius Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S52.501A.
Impact
Clinical: Inaccurate patient records., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential claim denials.
Mitigation Strategy
Train staff on importance of documenting laterality., Implement checklist for fracture documentation.
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding standards., Data Quality: Decreased accuracy in patient records.
Mitigation Strategy
Always document and code the specific side of the fracture.
Impact
Failure to document the number of fragments can lead to audits.
Mitigation Strategy
Ensure operative notes specify the exact number of fragments.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Distal Radius Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Distal Radius Fracture
Use these documentation templates to ensure complete and accurate documentation for Distal Radius Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for distal radius fracture
Specialty: OrthopedicsRequired Elements
- Fracture type
- Laterality
- Displacement
- Number of fragments
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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